Cynthia Ann Degner, DENTAL THERAPIST/RDH

Primary specialty

Dental TherapistTaxonomy code 125J00000X

License

DT155 Issued in MN

Practice address

115 Drew Ave SE Ste 202
Madelia, MN 56062-1870

Phone

(507) 588-5011

NPI assigned

Dec 10, 2010

Last updated

Sep 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Earth Family Dental Inc

  dba Mapleton Family Dental

  • General Practice Dentistry
  • Blue Earth, MN
  • NPI 1326734559
  NPD (past)
• Children's Dental Health Services

  • Dental Clinic/Center
  • Rochester, MN
  • NPI 1881780864
  NPD (past)
• Southern Minnesota Surgical Inc

  • Specialist
  • Blue Earth, MN
  • NPI 1164758991
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1790088979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 DREW AVE SE STE 202",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621870",
            "telephone_number": "507-588-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DREW AVE SE STE 202",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621870",
            "telephone_number": "507-588-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGNER",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "DENTAL THERAPIST/RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "D8546",
            "primary": false
        },
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apple Tree Dental
• Elizabeth Marie Bertrand, RDN, LD
• City of Madelia (Madelia Community Ambulance)
• Viktoria Larson Davis, O.D.
• Brian Peter Di Diego, ND
• Michael A Doering, PT, DPT
• Julie Lynn Dolphin
• Sarah Dryden, DO
• James R Eiselt, DO

• Dental Therapist in Madelia, MN
• Providers in Madelia, MN by specialty
• Dental Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.